Time to Treatment: Focus on Transfer in ST-Elevation Myocardial Infarction

Juan Russo; Michel R Le May

doi:10.1016/j.iccl.2016.06.003

Time to Treatment: Focus on Transfer in ST-Elevation Myocardial Infarction

Interv Cardiol Clin. 2016 Oct;5(4):427-437. doi: 10.1016/j.iccl.2016.06.003. Epub 2016 Sep 8.

Authors

Juan Russo¹, Michel R Le May²

Affiliations

¹ Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa K1Y 4W7, Canada.
² Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa K1Y 4W7, Canada. Electronic address: mlemay@ottawaheart.ca.

PMID: 28581993
DOI: 10.1016/j.iccl.2016.06.003

Abstract

In the modern ST-elevation myocardial infarction (STEMI) system, the use of electrocardiogram by emergency medical services (EMS) personnel and the option to bypass emergency departments on route to a PCI-capable hospital is of particular importance. Through training and a standardized referral process, EMS personnel can now accurately diagnose and refer STEMI patients directly to the catheterization laboratory of a percutaneous coronary intervention-capable hospital. Regional STEMI models have been implemented successfully across North America, resulting in palpable reductions in door-to-balloon time, morbidity, and mortality.

Keywords: Door-to-balloon time; ST-elevation myocardial infarction; Time to treatment.

Publication types

Review

MeSH terms

Electrocardiography
Emergency Service, Hospital*
Humans
North America
Percutaneous Coronary Intervention*
ST Elevation Myocardial Infarction / diagnosis
ST Elevation Myocardial Infarction / surgery*
Time Factors
Time-to-Treatment